Provider Demographics
NPI:1295790541
Name:RATHKAMP, DAVID MAYS (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MAYS
Last Name:RATHKAMP
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 ANDRE DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-5347
Mailing Address - Country:US
Mailing Address - Phone:214-564-5636
Mailing Address - Fax:
Practice Address - Street 1:311 ANDRE DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-5347
Practice Address - Country:US
Practice Address - Phone:214-564-5636
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12764024208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics